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Adductor Tenotomy
Recall from the discussion in the introduction to sports hernias, the mechanism of injury for sports hernias is the stress caused by the contraction of the abdominal muscles and the adductor muscles. The oblique muscles tear, but about 30% of patients will present with simultaneous adductor pain [Holmich1997] [Meyers2000]. This pain may persist even after reconstruction of the abdominal muscles with a open or laparoscopic repair.
Some surgeons advise a tenotomy of the adductor longus tendon at the pubis. They report good results without significant loss of function or strength [Akermark1992] [Meyers2000]. In Dr. Brown's practice, he advises patients with significant adductor tendon pain preoperatively that an adductor tenotomy is beneficial. About 10% undergo the tenotomy in addition to the groin reconstruction.
The rehabilitation is the same. Results of combining both procedures has yielded good results [Van_Der_Donckt2003]
Dr. William H. Brown, III
Sports Hernia Specialist
Dr. Brown has been performing sports hernia surgeries and providing specialized rehabilitation programs since 1999.
His clients include the San Jose Sharks (hockey) and the San Jose Earthquakes (soccer) teams.
556 Mowry Ave,
Suite 100
Fremont, CA 94536
Phone: (510) 793 2404
Fax: (510) 793 1320
Email: